Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review
BackgroundAnatomic basal segmentectomy is often regarded as a complex procedure, particularly in the presence of complex anatomical variations.Case reportHerein, we present a case of a 55-year-old female patient diagnosed with invasive lung adenocarcinoma. Three-dimensional computed tomography bronc...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2025.1562303/full |
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| author | Tiancheng Liu Tiancheng Liu Sishi Huang Sishi Huang Jianbin Zhang Jianbin Zhang Lili Jin Lili Jin Qibin Shen Qibin Shen |
| author_facet | Tiancheng Liu Tiancheng Liu Sishi Huang Sishi Huang Jianbin Zhang Jianbin Zhang Lili Jin Lili Jin Qibin Shen Qibin Shen |
| author_sort | Tiancheng Liu |
| collection | DOAJ |
| description | BackgroundAnatomic basal segmentectomy is often regarded as a complex procedure, particularly in the presence of complex anatomical variations.Case reportHerein, we present a case of a 55-year-old female patient diagnosed with invasive lung adenocarcinoma. Three-dimensional computed tomography bronchography and angiography (3D-CTBA) displayed a unique combined variation in the basal segment of right lower lobe (RLL): The medial basal subsegmental bronchi (BX7a+BX7t) originated from both the anterior and posterior segmental bronchi; The medial basal subsegmental arteries emanated from the anterior and posterior basal segmental arteries; The medial anterior segmental vein shared a trunk with both the anterior basal and lateral basal subsegmental veins. With precise preoperative planning, thoracoscopic anterior basal segmentectomy was successfully executed.ConclusionThis case again highlights the importance of 3D-reconstruction in pulmonary segmentectomy. Detailed understanding of anatomic features of segmental bronchi and vessels is imperative for those with complex anatomical variations. |
| format | Article |
| id | doaj-art-00448eb76b234eb2a8830a4c81d52d1e |
| institution | Kabale University |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-00448eb76b234eb2a8830a4c81d52d1e2025-08-20T03:30:33ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-06-011510.3389/fonc.2025.15623031562303Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature reviewTiancheng Liu0Tiancheng Liu1Sishi Huang2Sishi Huang3Jianbin Zhang4Jianbin Zhang5Lili Jin6Lili Jin7Qibin Shen8Qibin Shen9Department of Thoracic Surgery, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, ChinaDepartment of Central Laboratory, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang, ChinaDepartment of Central Laboratory, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, Zhejiang, ChinaDepartment of Thoracic Surgery, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou, Zhejiang, ChinaBackgroundAnatomic basal segmentectomy is often regarded as a complex procedure, particularly in the presence of complex anatomical variations.Case reportHerein, we present a case of a 55-year-old female patient diagnosed with invasive lung adenocarcinoma. Three-dimensional computed tomography bronchography and angiography (3D-CTBA) displayed a unique combined variation in the basal segment of right lower lobe (RLL): The medial basal subsegmental bronchi (BX7a+BX7t) originated from both the anterior and posterior segmental bronchi; The medial basal subsegmental arteries emanated from the anterior and posterior basal segmental arteries; The medial anterior segmental vein shared a trunk with both the anterior basal and lateral basal subsegmental veins. With precise preoperative planning, thoracoscopic anterior basal segmentectomy was successfully executed.ConclusionThis case again highlights the importance of 3D-reconstruction in pulmonary segmentectomy. Detailed understanding of anatomic features of segmental bronchi and vessels is imperative for those with complex anatomical variations.https://www.frontiersin.org/articles/10.3389/fonc.2025.1562303/fullthree-dimensional computed tomography bronchography and angiographyanatomical variationbasal segmentanatomic segmentectomylung cancer |
| spellingShingle | Tiancheng Liu Tiancheng Liu Sishi Huang Sishi Huang Jianbin Zhang Jianbin Zhang Lili Jin Lili Jin Qibin Shen Qibin Shen Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review Frontiers in Oncology three-dimensional computed tomography bronchography and angiography anatomical variation basal segment anatomic segmentectomy lung cancer |
| title | Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review |
| title_full | Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review |
| title_fullStr | Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review |
| title_full_unstemmed | Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review |
| title_short | Thoracoscopic right anterior basal segmentectomy with unique anatomic variation: a case report and literature review |
| title_sort | thoracoscopic right anterior basal segmentectomy with unique anatomic variation a case report and literature review |
| topic | three-dimensional computed tomography bronchography and angiography anatomical variation basal segment anatomic segmentectomy lung cancer |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2025.1562303/full |
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